Bourdon, Chevelle Marie

Bourdon, Chevelle Marie is an sole proprietor health care provider with primary practice located at 500 Allerton St , Redwood City CA 94063-1519. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bourdon, Chevelle Marie can be contacted via phone (650) 599-9955.

Contact Information

Primary practice address
500 Allerton St Redwood City CA 94063-1519
Phone: (650) 599-9955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1447507728
LBN Legal business name Bourdon, Chevelle Marie
Credentials LCSW 99121
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2012
Last updated Oct 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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